对前往急诊科的蛇咬伤患者的评估：132例病例。

Evaluation of patients with snakebite who presented to the emergency department: 132 cases.

作者信息

Şahan Mustafa, Taşın Veyis, Karakuş Ali, Özcan Oguzhan, Eryiğit Umut, Kuvandık Güven

机构信息

Department of Emergency Medicine, Mustafa Kemal University Faculty of Medicine, Hatay-Turkey.

Department of Biochemistry, Mustafa Kemal University Faculty of Medicine, Hatay-Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2016 Jul;22(4):333-7. doi: 10.5505/tjtes.2016.03392.

DOI:10.5505/tjtes.2016.03392

PMID:27598604

Abstract

BACKGROUND

The present objective was to evaluate clinical stages, complications, treatment modalities, and termination of treatment in patients who presented to the emergency department with snakebite.

METHODS

A total of 132 snakebite cases were retrospectively examined using emergency department records.

RESULTS

The majority of patients, 42.9% (n=57), had grade 0 snakebite. The local complication most frequently observed was pain (42.4%, n=56); the most common systemic complication was prolonged international normalized ratio (INR) level (5.3%, n=7). Local complications were observed in patients at all stages, while systemic complications were observed only in patients at advanced stages. Antivenom was administered in 46.4% (n=61) of patients, 52.2% (n=69) of patients were hospitalized, and 47.7% (n=63) of patients were discharged after 6-12 hours of monitoring. No negative outcome was observed during 6-month or year-long follow-up.

CONCLUSION

Complications should be evaluated based on type of toxin, and appropriate treatment should be initiated efficiently, according to clinical stage. This approach reduces or prevents the development of complications.

摘要

背景

本研究目的是评估因蛇咬伤而前往急诊科就诊患者的临床分期、并发症、治疗方式及治疗结局。

方法

通过急诊科记录对132例蛇咬伤病例进行回顾性分析。

结果

大多数患者（42.9%，n = 57）为0级蛇咬伤。最常观察到的局部并发症是疼痛（42.4%，n = 56）；最常见的全身并发症是国际标准化比值（INR）延长（5.3%，n = 7）。所有分期的患者均出现局部并发症，而全身并发症仅在晚期患者中出现。46.4%（n = 61）的患者接受了抗蛇毒血清治疗，52.2%（n = 69）的患者住院治疗，47.7%（n = 63）的患者在监测6 - 12小时后出院。在6个月或1年的随访期间未观察到不良结局。